Rocky Mountain Health Plan
What does Rocky Mountain Health Plan actually pay hospitals? We analyzed 294 negotiated rates from 2 hospitals across 1 states.
Is Rocky Mountain Health Plan Expensive or Cheap?
Based on our analysis of 294 negotiated rates, Rocky Mountain Health Plan is significantly more expensive than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Rocky Mountain Health Plan has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | Collection of venous blood by venipuncture | 4 | $6 | $3 | $9 |
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 4 | $8 | $8 | $8 |
| 80053 | Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (8 | 4 | $11 | $11 | $11 |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC IPF | 4 | $4,634 | $940 | $8,281 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 4 | $7,666 | $4,369 | $10,630 |
| 602 | CELLULITIS WITH MCC | 4 | $10,211 | $4,369 | $13,105 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 4 | $8,983 | $4,369 | $10,637 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | 4 | $6,222 | $4,369 | $7,943 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 4 | $8,719 | $4,369 | $12,963 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 4 | $7,646 | $4,946 | $9,415 |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | 4 | $10,066 | $4,946 | $13,135 |
| 603 | CELLULITIS WITHOUT MCC | 4 | $7,762 | $4,946 | $9,415 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | 4 | $7,376 | $4,946 | $9,415 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 4 | $6,810 | $4,946 | $9,415 |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 4 | $21,634 | $5,093 | $44,395 |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | 4 | $30,414 | $5,093 | $53,276 |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | 4 | $50,667 | $5,093 | $95,967 |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 4 | $9,105 | $5,659 | $17,984 |
| 471 | CERVICAL SPINAL FUSION WITH MCC | 4 | $30,725 | $6,825 | $41,594 |
| 472 | CERVICAL SPINAL FUSION WITH CC | 4 | $23,732 | $6,825 | $36,887 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 4 | $22,338 | $6,825 | $38,134 |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 4 | $16,639 | $6,825 | $30,398 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 4 | $12,429 | $6,825 | $19,333 |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | 4 | $230,593 | $6,825 | $560,173 |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 4 | $199,963 | $6,825 | $324,526 |
Hospitals with Rocky Mountain Health Plan Rates
Hospitals where we have negotiated rate data for Rocky Mountain Health Plan
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 150 | 113 | $11,545 | $3 - $232,973 |
| HCA HEALTHONE AURORA | CO | 144 | 112 | $17,768 | $3 - $560,173 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.